@noidung@
<form action="contact_send.php?langid=@langid@" method="post" name="frm_main" >
<table width="400" border=0 align="center" cellpadding=0 cellspacing=0 style="border:1px solid @bg_contact@; border-collapse:collapse">
        <tbody>
          <tr> 
            <td height="25" bgcolor="@bg_contact@" class="txtlogin"> <p align="center" class="title_lienhe" >Contact 
                      information
            </td>
          </tr>
          <tr> 
            <td> 
                <table border=0 cellpadding=4 
                                cellspacing=0 width="100%">
                  <tbody>
                    
                    <tr> 
                      <td> <table border="0" cellpadding="0" cellspacing="4"  width="100%" align="center">
                          <tr class="text"> 
                            <td width="20%"> <p align="right" >Your Name</td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22" width="80%"> <input name="cif_hoten" style="width:250px;"
	  class=textbox 
	  >
                            <span class="request_lienhe">*</span></td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> <p align="right">Company</td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_donvi" style="width:250px;"
	  class=textbox 
	  > </td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> <p align="right">Address</td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_diachi" style="width:250px;"
	  class=textbox 
	  >
                            <span class="request_lienhe">*</span></td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> <p align="right">Tel.</td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_dienthoai" style="width:250px;"
	  class=textbox 
	  >
                            <span class="request_lienhe">*</span></td>
                          </tr>
                          <tr class="text"> 
                                  <td align="right">Mobile</td>
                            <td align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_didong" style="width:250px;"
	  class=textbox 
	  > </td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> Fax </td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_fax" style="width:250px;"
	  class=textbox 
	  > </td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> <p align="right"> E-mail</td>
                            <td width="3%" align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_email" style="width:250px;"
	  class=textbox 
	  >
                              <span class="request_lienhe">*</span></td>
                          </tr>
                          <tr class="text"> 
                            <td align="right"> <p align="right"> Website</td>
                            <td align="center"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td height="22"> <input name="cif_website" style="width:250px;"
	  class=textbox 
	  > </td>
                          </tr>
                          <tr class="text"> 
                            <td align="right" valign="top" nowrap> <p align="right">Your 
                                content</td>
                            <td width="3%" align="center" valign="top"> <span style="font-family: Tahoma"> 
                              :</span></td>
                            <td> <textarea name="cif_noidung" rows="5"  style="width:250px;"
	  class=textbox 
	  ></textarea>
                            <span class="request_lienhe">*</span></td>
                          </tr>
                          <!-- ======== Check Form ========  -->
                          <script language="JavaScript">                
function check_valid()    
{		    
 
    
if (frm_main.cif_hoten.value == "")     
	{alert("Please input your name !");frm_main.cif_hoten.focus();return false;}    
    
if (frm_main.cif_diachi.value == "")     
	{alert("Please input your address !");frm_main.cif_diachi.focus();return false;}    
    
if ( (frm_main.cif_dienthoai.value == "") || (!isNaN(frm_main.cif_dienthoai.value)==false) )    
	{alert("Please input your phone !");frm_main.cif_dienthoai.focus();return false;}    
    
if (frm_main.cif_email.value == "" ){    
		alert("Please input your email.");frm_main.cif_email.focus();return false;}    
		
if (frm_main.cif_email.value != "" && ( frm_main.cif_email.value.indexOf('@',1)== -1 || frm_main.cif_email.value.indexOf('.',2)==-1)){    
		alert("Your email incorret, please try again !");frm_main.cif_email.focus();return false;}    		
    
if (frm_main.cif_noidung.value == "")     
	{alert("Please input your content!");frm_main.cif_noidung.focus();return false;}    
		    
return true;    
}     
                      </script>
                          <!-- =============== End Check Form =============== -->
                          <tr class="text"> 
                            <td align="right">&nbsp;</td>
                            <td width="3%" align="center">&nbsp;</td>
                            <td align="left"> <p> 
                          <input type="submit" value=" Send" name="B1" language=javascript onClick="return check_valid()" style="font-family:arial; size=30" >
                          &nbsp; 
                          <input type="reset" value="Reset" name="B2" style="font-family:arial">
                      </td>
                          </tr>
                          <tr class="text"> 
                            <td colspan="3" align="right"> <p align="left"> <span class="request_lienhe">*</span>&nbsp;Required field. </td>
                          </tr>
                          <tr> 
                            <td align="right" colspan="3"> </td>
                          </tr>
                        </table></td>
                    </tr>
                    <tr> 
                      <td> <div align=center > 
                                <p >&nbsp;</p>
                        </div></td>
                    </tr>
                  </tbody>
                </table>
            </td>
          </tr>
        </tbody>
  </table>
</form>	  